Percorrer por autor "Rodrigues, Teresa"
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- Appetite, eating and smoking habits: a study in BragançaPublication . Almeida-de-Souza, Juliana; Fernandes, António; Alves, Berta; Sílva, Milene; Rodrigues, Teresa; Gomes, YvonneThe literature indicates a strong relationship between smoking habits and food choices (Chatkin et al, 2007). We conducted a cross-sectional study with the aim of studing the relationship between smoking habits with appetite, consumption of coffee, alcohol, energy consumption, energy balance and macronutrient distribution. A questionnaire was sent to employees in the region of Bragança (Portugal), for institutional e-mail. It was questioned about their lifestyles, food intake through three days food recall, using photography to estimate the portion size. Each participant took photographs of all meals and beverages (one before and another after consumption) during two weeks and one weekend days. The portions size were estimate by dietitians and calculate the energy and macronutrients consumption and energy balance. The data were analyzed using SPSS trough Chi-square, Fisher’s Exact, Kruskal-Wallis and Mann-Whitney Tests. 129 individuals answered the questionnaire, but only 20 participated in the photographic food recall. It was found that 20% were smokers with an average caloric intake of 2192.2 ± 317.4 kcal, 60% of non-smokers with 2168.6 ± 635.4 kcal and 20% of ex-smokers with 2166.9 ± 292.5 kcal. It was found an association between smoking habits and coffee consumption (p = 0.020, Phi = 0.206), alcohol (p = 0.005, Phi = 0.250) and appetite (p = 0.028). No association was found between smoking habits and total energy, energy balance and macronutrient distribution. Dietary intake and macronutrient distribution were not related to the smoking habits. However, it was found a weak association between coffee and alcohol consumption and smoking habits. Also, it was found that ex-smokers have increased appetite.
- Appetite, eating and smoking habits: a study in BragançaPublication . Alves, Berta; Silva, Milene; Rodrigues, Teresa; Gomes, Yvonne; Fernandes, António; Almeida-de-Souza, Juliana
- Caracterização polínica do mel de Trás-os-Montes e Alto DouroPublication . Pires, Sancia; Rodrigues, Teresa; Rocha, Amélia; Pajuelo, António; Pereira, ÓscarThe aim of this study was to characterise the pollinic spectra of honeys from the "Trás-os-Montes e Alto Douro" (Portugal). A botanical study of the area was carried out and a reference collection of pollen grains was made. More than 800 pollen grains were counted per sample. Qualitative microscopical pollen analyses were carried out on the 40 samples of honey gathered from bee hives kept in the region of study. Este estudo teve como objectivo caracterizar o espectro polínico dos méis da região de Trás-os-Montes e Alto Douro. Para o efeito, realizámos um estudo prévio da flora desta região e elaboramos uma palinoteca de referência. Foram seleccionadas 40 amostras de mel, provenientes de apiários desta região, as quais foram analisadas por microscopia óptica.
- Differences on risk of cesarean section after labour induction according different portuguese hospitalsPublication . Teixeira, Cristina; Rodrigues, Teresa; Correia, Sofia; Barros, HenriqueTo assess if the risk of caesarean section (CS) after labour induction (LI) differs between hospitals and which extent this association may explain differences in CS rates. Methods: Participants (6688 Portuguese women) were consecutively recruited in five public hospitals (level III) during the assembling of a birth-cohort. Personal interviews were used to obtain data on socio-demographic characteristics, gynecological history and obstetric events. The risk (computed as odds ratio (OR) and 95% confidence Interval (95%CI)) of CS were considered according to hospital and adjusted for socio-demographic and obstetric characteristics. An interaction term (hospital and LI) was considered in the final model. Results: The proportion of LI by hospital ranged from 15.8% to 53.5% (p<0.001) and the proportion of CS varied between 22.2% and 35.6% (p<0.001). Women with LI presented an higher adjusted rate of CS (OR=1.71; 95%CI:1.48-1.99). There was a statistically significant interaction between hospital and IL on the risk of CS (p=0.002). After stratification by hospital and adjustment to characteristics of mother, the risk of CS for women with LI in comparison with those without LI was higher for three hospitals (OR=3.15; 95%CI:1.98-5.04, OR=1.84; 95% CI:1.38-2.46 and OR=2.04; 95%CI:1.52-2.73) but no such effect was found in the remaining two. Conclusions: Different associations between LI and CS across hospitals probably result from different management of LI. These differences may partially explain discrepancies in CS rates across hospitals.
- Obstetric interventions among native and migrant women: a survey of episiotomy in PortugalPublication . Lorthe, Elsa; Teixeira, Cristina; Rodrigues, Teresa; Barros, HenriqueIt is unclear whether migrant women experience worse pregnancy outcomes than native women. A better comprehension of obstetric care provision, including controversial interventions such as episiotomy, is important to improve equity of service provision, overall maternal and neonatal health and to support evidence-informed perinatal health policy-making. We aimed to determine if migrant and native women giving birth vaginally have different risks of episiotomy and if the risk differs by migrant sub-groups. Methods: This study is based on a cross-sectional survey of foreign-born women with a random sample of native women, implemented in 32 public maternity units in mainland Portugal. We included 3583 women with vaginal delivery. Migrant status was defined by the woman’s country of birth (migrants, born abroad, vs natives, born in Portugal), then as subgroups of migrants from Brasil, Portuguese-speaking African countries (PSAC) and non Portuguese-speaking countries vs natives. The association between migrant status and episiotomy was assessed using multilevel logistic regression models, stratified by delivery mode, and adjusted for main risk factors of episiotomy. Results: The overall frequencies of episiotomy were 52.6% and 48.2% among the 1707 natives and the 1876 migrants, respectively (p = 0.01). With spontaneous delivery, migrant women had decreased odds of having an episiotomy (adjusted OR 0.70 [95% CI 0.58-0.83]), especially those from PSAC (aOR 0.57 [0.46-0.71]). However, with instrumental delivery, migrant women had increased odds of episiotomy (aOR 2.47 [95% CI 1.50-4.07]), especially those from Brasil (aOR 3.24 [1.18-8.92]) and non Portuguese-speaking countries (aOR 3.75 [1.827.71]). Conclusions: These results suggest non-medically justified differential care during childbirth and highlight the importance of developing evidence-based recommendations for episiotomy use, in a country with a high frequency of medical intervention during delivery. Key messages: Portugal displays a high frequency of medical interventions during delivery, including episiotomy, highlighting the need for developing evidence-based recommendations. Migrant and native women have different risks of episiotomy, suggesting non-medically justified differential care
- Obstetric interventions among native and migrant women: the (over)use of episiotomy in PortugalPublication . Lorthe, Elsa; Severo, Milton; Hamwi, Sousan; Rodrigues, Teresa; Teixeira, Cristina; Barros, HenriqueEpisiotomy, defined as the incision of the perineum to enlarge the vaginal opening during childbirth, is one of the most commonly performed surgical interventions in the world. We aimed to determine if migrant status is associated with episiotomy, and if individual characteristics mediate this association.Methods: We analyzed data from the Bambino study, a national, prospective cohort of migrant and native women giving birth at a public hospital in mainland Portugal between 2017 and 2019. We included all women with vaginal delivery. The association between migrant status and episiotomy was assessed using multivariable multilevel random-effect logistic regression models. We used path analysis to quantify the direct, indirect and total effects of migrant status on episiotomy.Results: Among 3,583 women with spontaneous delivery, migrant parturients had decreased odds of episiotomy, especially those born in Africa, compared to native Portuguese women. Conversely, with instrumental delivery, migrant women had higher odds of episiotomy. Disparities in episiotomy were largely explained by maternity units' factors, and little by maternal and fetal characteristics.Conclusion: Our results suggest non-medically justified differential episiotomy use during childbirth and highlight the importance of developing evidence-based recommendations for episiotomy use in a country with a high frequency of medical interventions during delivery.
- The Bishop score as a determinant of labour induction success: a systematic review and meta-analysisPublication . Teixeira, Cristina; Lunet, Nuno; Rodrigues, Teresa; Barros, HenriquePURPOSE: To evaluate the association between the Bishop Score and successful induction. STUDY STRATEGY AND SELECTION CRITERIA: We searched the PubMed and the lists of references of relevant studies to identify reports on the association between Bishop Score and achieving active phase of labour or vaginal delivery. DATA COLLECTION AND ANALYSIS: We abstracted crude or adjusted measures of association from studies. Summary odds ratio (OR) and summary hazard ratio (HR), and 95 % confidence interval (95 % CI) were obtained by random effects meta-analysis. Study heterogeneity was assessed using the I (2) test. RESULTS: Fifty-nine studies met the inclusion criteria. Analyses with crude ORs showed that women with higher versus lower Bishop Score were more likely to achieve vaginal delivery either with no time limit for this to occur, or within a certain time interval; the summary ORs according to the Bishop Score cutoff ranged from 1.98 (95 % CI: 1.58-2.48; I (2) = 36.6 %) to 5.48 (95 % CI: 1.67-17.96; I (2) = 0.0 %) and from 2.15 (95 % CI: 1.36-3.40; I (2) = 0.0 %) to 4.22 (95 % CI: 2.48-7.17; I (2) = 11.0 %), respectively. Summary estimates per unit increase in the Bishop Score, based on adjusted ORs, showed a positive association with achieving vaginal delivery, either with no time limit (OR(summary) = 1.33; 95 % CI: 1.13-1.56; I (2) = 66.1 %) or within a certain time interval (OR(summary) = 1.52; 95 % CI: 1.37-1.70; I (2) = 42.4 %). Summary HRs per unit increase in Bishop Score showed an association with induction to vaginal delivery (HR(summary) = 1.28; 95 % CI: 1.21-1.36; I (2) = 0.0 %), but not with induction to active phase (HR(summary) = 1.21; 95 % CI: 0.88-1.68; I (2) = 70.7 %) time interval. CONCLUSIONS: Bishop Score seems be a determinant of achieving vaginal delivery and is associated with induction-to-vaginal delivery time interval.